99 Washington Avenue
Minimum Qualifications A Bachelor’s degree and 5 years of progressive experience in healthcare administration, business administration, government administration or a related field; OR an Associate’s degree and 7 years of such experience; OR
9 years of such experience. A Master’s degree may substitute for one year of experience. Two years of the experience must have been at a supervisory level.
Preferred Qualifications: Strong critical thinking skills, exceptional analytical skills using Microsoft Excel, ability to solve problems independently. Professional work experience should include familiarity with the State's Medicaid data systems including eMedNY and the Medicaid Data Warehouse.
The successful applicant will also have the following:
•An extensive working understanding of Medicaid rate-setting activities related to New York State’s broad array of services for individuals with Intellectual and/or Developmental Disabilities across a variety of rate methodologies including but not limited to Intermediate Care Facilities, Supervised Individualized Residential Alternatives (IRA), Supportive IRA, Day Habilitation Services, and Prevocational Services.
• Working understanding New York State’s Medicaid State Plan as it relates to services for individuals with developmental disabilities, and experience with the State Plan Amendment process.
• Working understanding of New York State’s Part 1915(c) Home and Community-Based Services (HCBS) waiver, and experience with the waiver amendment process.
• Experience working with data from New York State’s Consolidated Fiscal Reports (CFR).
• Experience coordinating responses to inquiries related to Medicaid rates from voluntary agencies which provide services to individuals with developmental disabilities.
• Experience working with subject-area staff from OPWDD, including at the executive level, to ensure rate setting activities are consistent with that agency’s policies and priorities.
• Experience working with and supervising the work of consultant staff, including actuarial consultants, to support Medicaid rate-setting activities.
Duties Description This incumbent will coordinate the work of three units within Bureau of Mental Hygiene Services Rate Setting within OHIP’s Division of Finance and Rate Setting (DFRS) and team of consultant actuaries in rebasing Medicaid rates for services overseen by OPWDD, and developing new methodologies to reimburse residential programs. This position will lead a project to re-base Medicaid rates which support voluntary-operated services overseen by OPWDD under the current Rate Rationalization methodology. This includes, but is not limited to collection and analysis of provider operating and cost reporting data, review of data across multiple service modalities and identification of relevant information, calculation of various cost factors based on current data sets, development and evaluation of a comprehensive rate model, facilitation of inter-agency communication and review, and development of informational materials, and other activities as assigned. Further, the project coordinator will work to develop an updated methodology to determine rates for residential services overseen by OPWDD, which will include but not be limited to coordinating an inter-agency process to identify and collect necessary and relevant data, working with various stakeholder groups to identify priorities, development of evaluation and quality control standards, and development of informational materials for distribution to diverse stakeholder communities. Other duties as assigned will include: Creating detailed project plans, including timelines; Establishing project milestones; Working with stakeholder groups to effectively implement required rate methodology and policy changes; Coordinating the work of consultant actuaries; Drafting policy and procedures for rate setting in assigned areas;Ensuring compliance with applicable state and federal laws, regulations, and New York's Medicaid State Plan and existing 1915(c) waivers; Supervising multiple teams of State forces staff as needed.
Additional Comments Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
• Thirteen (13) paid holidays annually
• Up to Thirteen (13) days of paid vacation leave annually
• Up to Five (5) days of paid personal leave annually
• Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
• Up to Eight (8) days of paid sick leave annually for M/C
• Up to three (3) days of professional leave annually to participate in professional development
Health Care Benefits
• Eligible employees and dependents can pick from a variety of affordable health insurance programs
• Family dental and vision benefits at no additional cost
• New York State Employees’ Retirement System (ERS) Membership
• NYS Deferred Compensation
• Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
• Public Service Loan Forgiveness (PSLF)
• And many more..
For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
Some positions may require additional credentials or a background check to verify your identity.
Corning Tower Building, Empire State Plaza
Notes on Applying Please submit your resume and cover letter, preferably in PDF format, by email to firstname.lastname@example.org, with Reference SCD/PC/61323 included in the subject line or by mail to Human Resources Management Group, SCD/PC/61323, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.